Provider Demographics
NPI:1235370453
Name:MAGINNIS, JAMES (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:MAGINNIS
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 HOSPITAL CENTER COMMON
Mailing Address - Street 2:STE 201
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-2844
Mailing Address - Country:US
Mailing Address - Phone:843-681-5556
Mailing Address - Fax:843-342-2174
Practice Address - Street 1:11 HOSPITAL CENTER CMNS
Practice Address - Street 2:STE 201
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-2844
Practice Address - Country:US
Practice Address - Phone:843-681-5556
Practice Address - Fax:843-342-2174
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC36281223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics